Form 51A290 "Information Sharing and Assignment Agreement for Designated Refund Claims" - Kentucky

What Is Form 51A290?

This is a legal form that was released by the Kentucky Department of Revenue - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2007;
  • The latest edition provided by the Kentucky Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form 51A290 by clicking the link below or browse more documents and templates provided by the Kentucky Department of Revenue.

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Download Form 51A290 "Information Sharing and Assignment Agreement for Designated Refund Claims" - Kentucky

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Page 1
51A290 (10-07)
Commonwealth of Kentucky
INFORMATION SHARING AND ASSIGNMENT
DEPARTMENT OF REVENUE
AGREEMENT FOR DESIGNATED REFUND CLAIMS
(Check the applicable refund type)
_________ KEIA (Kentucky Enterprise Initiative Act) (KRS 154.20-206)
_________ Signature Project (KRS 139.515)
_________ Alternative Fuel, Gasification or Renewable Energy Facility (KRS 139.517)
This information-sharing agreement and assignment agreement is hereby entered into between the Department of Revenue and the
following parties.
______________________________________________________
Approved Company or Agency
Contact Person ________________________________
Kentucky Sales/Use Acct. # ______________________________
Address ____________________________________
____________________________________________
Telephone Number ____________________________
E-mail Address _______________________________
______________________________________________________
Vendor
Contact Person _______________________________
Kentucky Sales/Use Acct. # ______________________________
Address ____________________________________
____________________________________________
Telephone Number ____________________________
E-mail Address _______________________________
______________________________________________________
Contractor/Subcontractor (Purchaser)
Contact Person _______________________________
Kentucky Sales/Use Acct. # ______________________________
Address ____________________________________
____________________________________________
Telephone Number ____________________________
E-mail Address _______________________________
Purpose
The purpose of this agreement is to facilitate the payment of refunds allowed an Approved Company or Agency under the
applicable statutes listed above. According to the provisions of the applicable statutes, an Approved Company or Agency may receive
a refund of sales and use tax paid on the cost of tangible personal property used in the construction of an approved project.
In order for the sales and use tax refund request to be properly verified and ultimately paid, various tax and purchase information
may be shared by and among the Department, the Approved Company or Agency, Vendors, Contractors/Subcontractors (Purchaser)
and other related parties. To ensure the accomplishment of this process without any violation of the taxpayer confidentiality laws (KRS
131.190; 131.081(15); 131.990), the Approved Company or Agency and other parties listed above hereby enter into this information-
sharing agreement pursuant to the above statutes.
KentuckyUnbridledSpirit.com
An Equal Opportunity Employer M/F/D
Page 1
51A290 (10-07)
Commonwealth of Kentucky
INFORMATION SHARING AND ASSIGNMENT
DEPARTMENT OF REVENUE
AGREEMENT FOR DESIGNATED REFUND CLAIMS
(Check the applicable refund type)
_________ KEIA (Kentucky Enterprise Initiative Act) (KRS 154.20-206)
_________ Signature Project (KRS 139.515)
_________ Alternative Fuel, Gasification or Renewable Energy Facility (KRS 139.517)
This information-sharing agreement and assignment agreement is hereby entered into between the Department of Revenue and the
following parties.
______________________________________________________
Approved Company or Agency
Contact Person ________________________________
Kentucky Sales/Use Acct. # ______________________________
Address ____________________________________
____________________________________________
Telephone Number ____________________________
E-mail Address _______________________________
______________________________________________________
Vendor
Contact Person _______________________________
Kentucky Sales/Use Acct. # ______________________________
Address ____________________________________
____________________________________________
Telephone Number ____________________________
E-mail Address _______________________________
______________________________________________________
Contractor/Subcontractor (Purchaser)
Contact Person _______________________________
Kentucky Sales/Use Acct. # ______________________________
Address ____________________________________
____________________________________________
Telephone Number ____________________________
E-mail Address _______________________________
Purpose
The purpose of this agreement is to facilitate the payment of refunds allowed an Approved Company or Agency under the
applicable statutes listed above. According to the provisions of the applicable statutes, an Approved Company or Agency may receive
a refund of sales and use tax paid on the cost of tangible personal property used in the construction of an approved project.
In order for the sales and use tax refund request to be properly verified and ultimately paid, various tax and purchase information
may be shared by and among the Department, the Approved Company or Agency, Vendors, Contractors/Subcontractors (Purchaser)
and other related parties. To ensure the accomplishment of this process without any violation of the taxpayer confidentiality laws (KRS
131.190; 131.081(15); 131.990), the Approved Company or Agency and other parties listed above hereby enter into this information-
sharing agreement pursuant to the above statutes.
KentuckyUnbridledSpirit.com
An Equal Opportunity Employer M/F/D
Page 2
51A290 (10-07)
Terms of Agreement
1.
The Department of Revenue agrees to consider the Approved Company’s or Agency’s application for sales
and use tax refund under the applicable statute and if it determines that the application is valid, to remit
payment of the computed refund to the Approved Company or Agency. The Approved Company or Agency
understands and agrees that the Department shall reduce the amount of refund so allowed by the amount of
compensation paid the Vendor/Purchaser listed above, by any outstanding debts or liabilities owed to the
Commonwealth or to any person for whom the Commonwealth has an obligation to collect debts or liabilities
of the Approved Company or Agency, and if applicable, by any reconciliation of the actual purchases
applicable to the approved project.
2.
The Approved Company/Agency, Vendor, and Contractor/Subcontractor (Purchaser) listed above agree
that the Department may disclose the status and final disposition of the Approved Company’s or Agency’s
application for sales and use tax refund to the Vendor and Contractor/Subcontractor (Purchaser). The
parties to this Agreement further agree that these disclosures by the Department will not constitute a violation
of the taxpayer confidentiality laws.
3.
The Vendor or Contractor/Subcontractor (Purchaser) listed above agrees that it is the person who paid to
the Department sales and use tax on purchases that are the subject of the Approved Company’s or Agency’s
application for sales and use tax refund. The Vendor or Contractor/Subcontractor (Purchaser) listed above
agrees to provide the Department with whatever records, documents and other information the Department
may need to verify the Approved Company’s or Agency’s application for sales and use tax refund for
approved expenses. The Contractor/Subcontractor (Purchaser) agrees that the Department may disclose to
the Approved Company or Agency records, documents and other information furnished by the Contractor/
Subcontractor (Purchaser) to the Department under this paragraph and that such disclosure by the Department
shall not constitute a violation of the taxpayer confidentiality laws. The Contractor/Subcontractor (Purchaser)
further agrees that the Approved Company or Agency is the proper party to receive the sales and use tax
refunds for the approved expenses, as defined by the applicable statutes.
4.
The parties to this Agreement understand and agree that this Agreement shall relate only to the Approved
Company’s or Agency’s application for sales and use tax refunds for approved expenses under the program
checked on page one. The Vendor and Contractor/Subcontractor (Purchaser) remain responsible for timely
protesting assessments or seeking refunds of sales and use taxes paid on other transactions that are not the
subject of the Approved Company’s or Agency’s application.
5.
This Agreement shall be governed by the laws of the Commonwealth of Kentucky and any legal proceeding
for the enforcement of this Agreement or for the resolution of any dispute over its meaning or effect may be
brought only in the Circuit Court of Franklin County, Kentucky. Any denial of a refund, refund incentive or
incentive payment, in whole or in part, and any assessment or order to repay a refund or refund incentive
shall be protested and appealed in accordance with KRS Chapter 131, e.g., KRS 131.110 and 131.340.
6.
The persons signing this Agreement below represent and warrant that they are duly authorized to execute
this agreement on behalf of the parties for whom they sign.
Page 3
51A290 (10-07)
This Agreement shall be effective upon its execution below by all applicable parties. The persons executing the agreement on behalf of
the parties warrant that they are duly authorized to execute this agreement on behalf of the parties.
____________________________________________________
By ________________________________________________
Approved Co./Agency
(Signature of authorized signatory for Approved Company/
Agency)
Date _______________________________________________
____________________________________________________
Subscribed and sworn before me this
(Print name of authorized signatory for Approved Company/
the _____ day of ________________, 20___.
Agency)
____________________________________________________
____________________________________________________
Title
Notary Public
State at Large
My Commission Expires: _____________.
____________________________________________________
By ________________________________________________
Vendor
(Signature of authorized signatory for Vendor)
Date _______________________________________________
____________________________________________________
Subscribed and sworn before me this
(Print name of authorized signatory for Vendor)
the _____ day of ________________, 20___.
____________________________________________________
____________________________________________________
Title
Notary Public
State at Large
My Commission Expires: _____________.
____________________________________________________
By ________________________________________________
Contractor/Subcontractor (Purchaser)
(Signature of authorized signatory for Contractor/Subcontractor
(Purchaser))
Date _______________________________________________
____________________________________________________
Subscribed and sworn before me this
(Print name of authorized signatory for Contractor/Subcontractor
the _____ day of ________________, 20___.
(Purchaser))
____________________________________________________
____________________________________________________
Title
Notary Public
State at Large
My Commission Expires: _____________.
By ________________________________________________
Department of Revenue
(Signature of authorized signatory for Department of Revenue)
Date _______________________________________________
____________________________________________________
Subscribed and sworn before me this
(Print name of authorized signatory for Department of Revenue)
the _____ day of ________________, 20___.
____________________________________________________
____________________________________________________
Title
Notary Public
State at Large
My Commission Expires: _____________.
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